Polneau, Laurie
Polneau, Laurie is an sole proprietor health care provider with primary practice located at 17269 Nw Broken Top Dr , Beaverton OR 97006-4857. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Polneau, Laurie can be contacted via phone (562) 537-7147.Contact Information
Primary practice address
17269 Nw Broken Top Dr
Beaverton OR 97006-4857
Phone: (562) 537-7147
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 201406189RN | Oregon |
Profile Details
| NPI number | 1750742193 |
|---|---|
| LBN Legal business name | Polneau, Laurie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2016 |
| Last updated | Mar 13th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750742193 | NPPES |
| Oregon | MEDICAID | 163WC1500X |
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